Our Services

Our wide range of services addresses many urological conditions.

Men’s Health

Men’s Health

The topic of men’s sexual health has become much more open to discussion. Men no longer shield their concerns about these issues and are now more likely to express them to an appropriate health care professional with the expectation of receiving an appropriate evaluation and treatment.

Typical concerns include:

Delayed or Retarded Ejaculation
Some men have difficulty reaching an orgasm during sexual activity. This problem, known as delayed ejaculation, is usually acquired and can be due either to problems with loss of rigidity or to a drop in circulating testosterone levels. Other potential causes involve neuropathy (as can be seen with diabetes) or psychological issues, such as depression.

If you suffer from this problem, the first step towards recovery involves a consultation and examination.  At that time you may undergo blood tests to help identify some of the causes listed above.  While there is no pill available to induce an orgasm in men per se, therapies are available to help treat specific causes as they are identified.

Anejaculation (Ejaculation absent)
A related problem called anorgasmia refers to men who have never been able to ejaculate under any circumstance. Treatments are also available for this issue once it has been correctly identified. A similar situation may follow the use of certain medications, pelvic trauma and certain endoscopic procedures.
Hypogonadism (low serum Testosterone)
Some men suffer from a low level of circulating testosterone which is the principal male sex hormone.   This problem may cause  symptoms, such as fatigue, loss of muscle mass, ED, lack of libido (loss of interest in sexual contact), etc. These same symptoms can also be due to several other causes and so an evaluation is needed to isolate the cause. This evaluation would include a hormone blood test to check the testosterone level along with its various components along with the other hormones that affect its production in the body. Today there are several ways to replace testosterone if and when its level is found to be diminished.  This sex steroid does require monitoring in order to assure that the correct dosage is applied and that there are no unwanted side effects.
Premature Ejaculation
Poor sexual function is not always due to poor erections. Some men believe they have erectile dysfunction (ED) when their problem may really be that they have an orgasm too quickly. In this situation, drugs such as Viagra, Levitra or Cialis are less likely to help. These men have what is known as premature ejaculation (PE).  Fortunately, there are effective remedies for this male problem as well.

The first step in rectifying these problems is to discuss your situation with a Urologist who can help to define your particular problem and identify any risk factors or lifestyle changes that, when addressed, could improve your function. Part of this consultation typically includes a full Medical History and review of your current medications. A blood test allows evaluation of your hormone status. The blood pressure and neurological status of the genital area is also assessed. These non-invasive studies can easily be completed in one visit. Usually, at that same visit a preliminary diagnosis can be formulated and appropriate treatment can be instituted. In certain more complex cases, more sophisticated tests can be scheduled to assess penile arterial and venous blood flow.

Our staff has the expertise and the equipment to perform all of the above testing in a comfortable and private office setting. We offer all forms of therapy as indicated by the testing described above. These include: oral medication when appropriate, intrapenile injection therapy, implantation of penile prostheses and microsurgery when indicated. Using this approach, our success rate in allowing men the ability to return to satisfactory sexual relations approaches 90%.